MICHAEL JOSEPH BIASIELLO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

MICHAEL JOSEPH

Last Name

BIASIELLO

Business Name

MICHAEL JOSEPH BIASIELLO

Original Issue Date

07/25/1985

Effective Date

05/11/2024

Expiration Date

09/30/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2024